A billion medical images are exposed online

Post by OnlineGladiator » Sat, Jan 11, 2020, 8:35 PM UTC

hhas01 wrote: post #70

thomasfedb wrote: post #53

Earlier quoted context omitted.

I'm a student doctor with a CS undergrad. I'm constantly gobsmacked by how horrible the computer systems doctors are forced to use are. They're pretty much abusive to use. The hours and hours of physician time that are thrown away into mindless box-ticking, copy-pasting, button-pushing, and general head-banging is astounding. If doctors are resistant to new IT hurdles it is, at least in part, because they're already…

Yep. Never blame users for raging at the system until you understand the system as well as they do. Techies have it easy: they only have one job and that’s all they ever do. It looks very different from the other side. (Protip: The key to delivering successful software is not to learn programming, it is to learn your users.) (Oh, and good luck with your medical studies; world needs good Renaissance [Wo]Men now more t…

Post by ssss11 » Sat, Jan 11, 2020, 8:48 PM UTC

txcwpalpha wrote: post #31

prostheticvamp wrote: post #16

An odd line from the article, wherein it states that security researchers don’t blame vendors, but the physicians and hospitals that fail to properly secure the software. I have never, in all my years of working in healthcare, seen a hospital or physicians office directly install and manage PACS. They pay a third-party - usually the vendor - to install, configure, and walk them through it. Maybe a behemoth system lik…

I’ve been the IT vendor in this scenario. While I’m sure there are plenty of inept vendors not doing their part to ensure the systems they implement are secure, a big part of it is doctors and their work culture. Many doctors see themselves as too important to deal with security. They have an attitude of “I went to school for medicine, not computers! How dare you ask me to use a computer.” They are not only technolog…

Post by 1996 » Sat, Jan 11, 2020, 9:04 PM UTC

txcwpalpha wrote: post #94

prostheticvamp wrote: post #65

Earlier quoted context omitted.

People are constantly targeting every aspect of the physician workflow, from CMS and private payors constantly changing their documentation requirements (which differ between payors and CMS, and results in hospitals trying to teach their docs to document everything to meet everyone's requirements - which are made intentionally lengthy and obtuse so as to justify denials of payment), quality improvement people and ven…

I'm sympathetic to this, and in other threads I would usually be the first person coming to the defense of doctors and harping on how complex and terrible EMR and other medical software is. But that's not what I'm talking about. I'm not talking about complex software. I'm not talking about instances where doctors are asked to learn an entirely new records management or scheduling system. I'm not talking about the typ…

Post by 1996 » Sat, Jan 11, 2020, 9:12 PM UTC

brianwawok wrote: post #78

blueboo wrote: post #25

Earlier quoted context omitted.

> One of them spends almost as much time on data entry as he does with patients ...then he’s one of the lucky ones! One study found that for every hour a physician spends with a patient, she spends two on processing health records. https://www.jwatch.org/fw111995/2016/09/06/half-physician-ti...

I mean, for every hour I spend writing production code - I spend an hour in agile meetings, and 2 hours chasing down obscure bugs in javascript libraries. Not that many professions are "do visible part of work 100%". Heck, I hear bricklayers need to spend some time mixing cement and getting bricks off the truck, not just scooping mud and sticking bricks. Health records ARE a big part of the product of a doctor. Keepi…

Post by carbocation » Sat, Jan 11, 2020, 9:21 PM UTC

txcwpalpha wrote: post #99

carbocation wrote: post #84

Earlier quoted context omitted.

In contrast to your experience, all VA physicians are obligated to use an ID card with a chip in order to login.

Indeed, other hospital chains do as well, which is why we viewed it as a good option and went down that path to begin with. In the case I'm referring to, everyone at the hospital already had badges and the thought was that removing password requirements and using the badges that everyone already had as a login would work well. It didn't work, not because of technical issues, but because we didn't anticipate the high…